Myocardial Infarction: Comparison of 12-Lead Electrocardiographic Criteria with 80-Lead Body Surface Mapping.
- Author:
Won Young KIM
1
;
Won KIM
;
Bum Jin OH
;
Se Hyun OH
;
Kyoung Soo LIM
Author Information
1. Department of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, seoul, Korea. wkim@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Myocardial infarction;
Right ventricle;
Body surface mapping
- MeSH:
Body Surface Potential Mapping*;
Echocardiography;
Electrocardiography*;
Emergencies;
Heart Ventricles;
Humans;
Infarction;
Inferior Wall Myocardial Infarction;
Mortality;
Myocardial Infarction*;
Sensitivity and Specificity
- From:Journal of the Korean Society of Emergency Medicine
2004;15(3):184-192
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Right ventricular (RV) infarction is associated with increased morbidity and mortality in patients with acute inferior wall myocardial infarction (MI). A 12-lead electrocardiogram (ECG) has a poor tendency to identify RV involvement. Our objective was to evaluate the diagnostic accuracy of 80-lead body surface mapping (BSM) for RV infarction and to compare diagnostic accuracy of 12-lead ECG criteria and 80-lead BSM for RV infarction in patients with acute inferior wall MI. METHODS: Between September 2002 and January 2003, 96 patients visited to our emergency center with AMI. All standard initial 12-lead ECG and 80-lead BSM were examined and compared with angiographic and echocardiographic findings. RESULTS: Thirty-one patients were confirmed as inferior wall MI. With the use of exclusion criteria, sixteen patients included in this study. RV infarction accompanied in 5 patients of these 16 patients. BSM showed a high sensitivity (60%), specificity (82%), high positive and negative predictive values (60%, and 82%, respectively), and high diagnostic accuracy (75%) in diagnosing RV infarction in patients with acute inferior wall MI. BSM showed increase in the sensitivity for RV infarction from 40% to 60% when compared with the 12-lead ECG. CONCLUSION: The 80-lead BSM is a more useful test in diagnosing RV infarction in patients with acute inferior wall
